Posted on May 9, 2020
Can the VA refuse to treat a 100% service-connected veteran citing their case as "too complex," and also refuse to outsource them for care?
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I have a pretty 'complicated' medical case but the VA continues to refuse at times to even consult with me despite internal VA referrals for the consults. They also refuse to refer me to anyone who possibly CAN help-- or the Mission Act options don't have any providers for the care needed within hours of me. Then they refuse to cover many of the meds that outside specialists suggest, costing me >$3,000 per year out-of-pocket. Is this OK at any level and would anyone have any suggestions for how to get the needed care? This way preceeded COVID-19 issues but continues despite it. I've been told the doctors won't even agree to a telehealth or video health consult at the VA across a few departments and programs. I'd already involved a senator's office a few years back and have made almost no progress. Help, please?
Posted 5 y ago
Responses: 430
Try getting a Veterans service officer involved from one of the Veterans service organizations in your area.
We have service officer reps. That work out of our Newington, CT hospital that have been good at representing Veterans.
Was able to get VA Pharmacy consult to get insulin pen instead of normal syringes. Just need an exception request from the pharmacist.
As to the care you need. If VA can't meet the needed care at any of their facilities or within 40 miles of their office then outsourcing would be possible.
You can also locating a patient advocate in your local VA hospital.
Yes, VA is a tough but to crack. Just don't give up.
100 percent service disabled you should not be having care issues.
You can also try contacting VA national at VA.gov.
We have service officer reps. That work out of our Newington, CT hospital that have been good at representing Veterans.
Was able to get VA Pharmacy consult to get insulin pen instead of normal syringes. Just need an exception request from the pharmacist.
As to the care you need. If VA can't meet the needed care at any of their facilities or within 40 miles of their office then outsourcing would be possible.
You can also locating a patient advocate in your local VA hospital.
Yes, VA is a tough but to crack. Just don't give up.
100 percent service disabled you should not be having care issues.
You can also try contacting VA national at VA.gov.
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Writing the White House is an excellent idea. How would they know what is going on unless we tell then about the abuse that occurs with the veterans and our treatment. I have written the WH on different subject and I saw a change to that problem. I have written I believe two president but not #45.
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I am ready to serve the complexities of disease with resources outside of the box. ADHD FUBAR and more, your GISmart Coach for Gastrointestinal related issues that efffect the mental health!
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I am ready and available to help anyone with complexities related to health issues. You might say I am an ambassador for ADHD FUBAR. GISmart Health Coach and Body Guru!
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To be honest, the VA is alot like the IRS. The top brass says and makes promises to appease the masses while hiring and keeping disloyal, incompetent, rude self serving swamp rats. Mind you, there are some exceptions.
My last 2 appts have been telephonic..citing COVID 19 issues,...so how does my doc know how I'm really doing.....they don't.
The VA is broke with no sight of getting fixed anytime soon, just look at Comrade Bidens picks for cabinet positions.
My last 2 appts have been telephonic..citing COVID 19 issues,...so how does my doc know how I'm really doing.....they don't.
The VA is broke with no sight of getting fixed anytime soon, just look at Comrade Bidens picks for cabinet positions.
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Actually recommend Disabled AMerican Veterans Association...DAV have people to help and the right contacts to cut thru the red tape. They helped us get stuff quickly from VA...best recommendation we got.
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If te VAMC you use does not have the specialty you require for care, the only option is to outsource to another provider. They should, however, cover the costs and prescribed meds that are not on the VA formulary. Typically, that would not include meds that are typically OTC or things like herbals or vitamins that you decide to use. Talk to the VA Patient Advocate. Ask them to provide some sort of written explanation for not providing your care. Move forward with that to your Congressman, a VAMC has a very short turn-around on a Congressional response, as little as 5 business days.
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Have you tried PVA, DAV, VFW, American Legion, and anyone else sitting at a table outside the VA office? Might help.
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Here is a fast way to get things done . Va # [login to see] . This call goes straight to a top dog of the VA who answers to The President Trump every day. They can and will help you.
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COLD'N COLDER (NE/IN):Responding by personal article 4.) to the questions of SSgt. Lisa J. Markland "are you kidding" is just my rhetorical question of the situation. For VA,and most especially VA,has you covered as that is what puts the P in Patient Privacy.
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You were right in contacting the Executive branch of government, but contact the office of Veterans Affairs, it’s a cabinet position
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I walk in DAV office while they play games on the computer. Dav office is hardly available never in the office under staff.
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The Office of Special Counsel (OSC.gov) is your better option. A lerrer or email to then works much faster than the white House. Get your Veteran organizations involved, your representative, or even your local new media. I am retired VA RN & a vet who knows how the VA can be. I have been reading their OIG website for about 20 years now & see what kind of complaints they get. The VA has poorly trained people in key positions. Often times their managers got the job b/c they were good at managing & have no idea what their workers have to do. And one can see people who make determinations could be in jobs for 10 years or more that have zero clue on how to do their job. They have been doing it wrong for that long. You never want to be the employee who opens your mouth about long term errors either. You will get in hot water. And despite the VA being the largest healthcare agency in the world, the veteran is often at the mercy of their local VA facility. If you can, see about going to another VA or even one in another state. I read of one case on the OIG site where a vet with liver failure was told he was going to die b/c he didn't qualify for a transplant. So for his final days he moved to another state to be close to family. When he registered at the VA there, they asked him why he refused a transplant, he was still healthy enough to get one. His original VA was going by that state's transplant requirements & not following the VA standard. He got his transplant by the way. Your VA should be sending you outside under the CHOICE program since they have nobody there to handle your case. How dare they just flatly refuse you.
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Do you vote? [HINT: The Congressional Aids check voting records for two things: (1) Are you registered? (2) Did you vote in the last election?] If yes, gather your documentation, COPY IT and sent the copies to you Congressman/or Congresswoman. Also follow-up at you Congress person's local office. Call and make an appointment. Words don't do you any good, YOU NEED DOCUMENTATION!!! To repeat, YOU NEED DOCUMENTATION!!! I would make an appointment sometime after January 20, 2021.
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Absolutely NOT!!! 100% means 100%!! They either have to treat you themselves or find someone who can. Talk to your love veterans service Officers about this!! Also, you actually can sue whomever denies your claim!!!
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I am going through this now, I have 3 discharges and I have been diagnosed with PTSD and I have NO BENEFITS, My career is in Limbo and I have been separated from the Military on Temporary Records and I Pray that someone comes and releases me from this HELL that I am in..... :(
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Weather they can or not...they do. Talk to the patient advocate... they will tell you the same thing in a more polite manner.
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What VA hospital do you go to? I live in the Chicago area and go to mostly Jessie Brown VA Hospital, but also go to Hines VA just down the road if I need major surgery. I have had nine different surgeries done, one major one at Hines for neck and spinal surgery, done with no problem from them. Since you are retired why don't you use Tri Care for Live and get your meds through them?
If nothing else write your congress man and senator for assistance. Good luck
If nothing else write your congress man and senator for assistance. Good luck
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